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Pérez SE, Torre AC, Echeverría M, Cura MJ, Caviedes M, Mazzuoccolo LD. [Translated article] Heparin-Induced Bullous Hemorrhagic Dermatosis: An Underdiagnosed Reaction? Actas Dermosifiliogr 2024; 115:T409-T411. [PMID: 38325546 DOI: 10.1016/j.ad.2022.09.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 09/20/2022] [Indexed: 02/09/2024] Open
Affiliation(s)
- S E Pérez
- Departamento de Dermatología. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina.
| | - A C Torre
- Departamento de Dermatología. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - M Echeverría
- Departamento de Dermatología. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - M J Cura
- Departamento de Dermatología. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - M Caviedes
- Departamento de Dermatología. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Departamento de Dermatología. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
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Pérez SE, Torre AC, Echeverría M, Cura MJ, Caviedes M, Mazzuoccolo LD. Heparin-Induced Bullous Hemorrhagic Dermatosis: An Underdiagnosed Reaction? Actas Dermosifiliogr 2024; 115:409-411. [PMID: 37088294 DOI: 10.1016/j.ad.2022.09.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 04/25/2023] Open
Affiliation(s)
- S E Pérez
- Departamento de Dermatología, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina.
| | - A C Torre
- Departamento de Dermatología, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - M Echeverría
- Departamento de Dermatología, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - M J Cura
- Departamento de Dermatología, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - M Caviedes
- Departamento de Dermatología, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Departamento de Dermatología, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina
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di Prinzio A, Torre AC, Mazzuoccolo LD. [Translated article] Acquired Epidermodysplasia Verruciformis in a Solid Organ Transplant Recipient. Actas Dermosifiliogr 2023; 114:T911. [PMID: 37734547 DOI: 10.1016/j.ad.2023.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/14/2022] [Accepted: 11/29/2022] [Indexed: 09/23/2023] Open
Affiliation(s)
- A di Prinzio
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
| | - A C Torre
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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di Prinzio A, Torre AC, Mazzuoccolo LD. Acquired Epidermodysplasia Verruciformis in a Solid Organ Transplant Recipient. Actas Dermosifiliogr 2023; 114:911. [PMID: 37088290 DOI: 10.1016/j.ad.2022.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/14/2022] [Accepted: 11/29/2022] [Indexed: 04/25/2023] Open
Affiliation(s)
- A di Prinzio
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
| | - A C Torre
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Cueto Sarmiento KY, Baquero Rey JA, Andrade Miranda A, Bruey SA, Makiya ML, Mazzuoccolo LD, Enz PA. Extracorporeal Photopheresis in Pediatric Graft-vs-Host Disease. Actas Dermosifiliogr (Engl Ed) 2021:S1578-2190(21)00177-3. [PMID: 34078587 DOI: 10.1016/j.adengl.2021.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 02/10/2021] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Extracorporeal photopheresis (ECP) is an immunomodulatory therapy used to treat graft-vs-host disease (GVHD) in adults and children. Few studies have examined its use in children. OBJECTIVE To describe demographic characteristics, clinical response, adverse effects, and outcomes in a series of pediatric patients with acute or chronic GVHD treated with ECP. MATERIAL AND METHODS We included all pediatric patients with acute or chronic GVHD treated with ECP by the dermatology department of Hospital Italiano de Buenos Aires between January 2012 and December 2018. We used the UVAR-XTS™ system (2 patients) and the CELLEX system (7 patients). Patients with acute GVHD received 2 sessions a week and were reassessed at 1 month, while those with chronic GVHD received 2 sessions every 2 weeks and were reassessed at 3 months. Treatment duration in both scenarios varied according to response. RESULTS We evaluated 9 pediatric patients with corticosteroid-refractory, -dependent, and/or -resistant GVHD treated with ECP. Seven responded to treatment and 2 did not. Response was complete in 1 of the 9 patients with skin involvement and partial in 7. Complete response rates for the other sites of involvement were 60% (3/5) for the liver, 50% (1/2) for the gastrointestinal system, and 80% (4/5) for mucous membranes. Two patients died during the study period. CONCLUSION ECP is a good treatment option for pediatric patients with acute or chronic GVHD.
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Affiliation(s)
- K Y Cueto Sarmiento
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - J A Baquero Rey
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - A Andrade Miranda
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - S A Bruey
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - M L Makiya
- Equipo de Trasplante de Médula Ósea Pediátrico, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - P A Enz
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
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Di Prinzio A, Bastard DP, Mazzuoccolo LD. Contact Dermatitis Imitating an @ Symbol. Actas Dermosifiliogr 2021; 112 Suppl 1:9. [PMID: 33905718 DOI: 10.1016/j.ad.2020.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 03/29/2020] [Indexed: 10/21/2022] Open
Affiliation(s)
- A Di Prinzio
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
| | - D P Bastard
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Cueto Sarmiento KY, Baquero Rey JA, Andrade Miranda A, Bruey SA, Makiya ML, Mazzuoccolo LD, Enz PA. Extracorporeal Photopheresis in Pediatric Graft-vs-Host Disease. Actas Dermosifiliogr (Engl Ed) 2021; 112:S0001-7310(21)00088-0. [PMID: 33621559 DOI: 10.1016/j.ad.2021.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 01/24/2021] [Accepted: 02/10/2021] [Indexed: 10/22/2022] Open
Abstract
BACKGROUND Extracorporeal photopheresis (ECP) is an immunomodulatory therapy used to treat graft-vs-host disease (GVHD) in adults and children. Few studies have examined its use in children. OBJECTIVE To describe demographic characteristics, clinical response, adverse effects, and outcomes in a series of pediatric patients with acute or chronic GVHD treated with ECP. MATERIAL AND METHODS We included all pediatric patients with acute or chronic GVHD treated with ECP by the Dermatology Department of Hospital Italiano de Buenos Aires between January 2012 and December 2018. We used the UVAR-XTS™ system (2 patients) and the CELLEX system (7 patients). Patients with acute GVHD received 2 sessions a week and were reassessed at 1 month, while those with chronic GVHD received 2 sessions every 2 weeks and were reassessed at 3 months. Treatment duration in both scenarios varied according to response. RESULTS We evaluated 9 pediatric patients with corticosteroid-refractory, -dependent, and/or -resistant GVHD treated with ECP. Seven responded to treatment and 2 did not. Response was complete in 1 of the 9 patients with skin involvement and partial in 7. Complete response rates for the other sites of involvement were 60% (3/5) for the liver, 50% (1/2) for the gastrointestinal system, and 80% (4/5) for mucous membranes. Two patients died during the study period. CONCLUSION ECP is a good treatment option for pediatric patients with acute or chronic GVHD.
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Affiliation(s)
- K Y Cueto Sarmiento
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - J A Baquero Rey
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - A Andrade Miranda
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - S A Bruey
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - M L Makiya
- Equipo de Trasplante de Médula Ósea Pediátrico, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - P A Enz
- Sección de Fotoféresis, Fototerapia y Linfomas Cutáneos, Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
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Zimman S, Cura MJ, Luna PC, Echeverría CM, Mazzuoccolo LD. [Impact of the COVID-19 Pandemic on Immunomodulatory and Immunosuppressive Therapies in Dermatology: Patient and Physician Attitudes in Argentina]. Actas Dermosifiliogr (Engl Ed) 2020; 111:806-807. [PMID: 32576376 PMCID: PMC7188639 DOI: 10.1016/j.ad.2020.04.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Affiliation(s)
- S Zimman
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Tte Gral Juan D. Perón, Ciudad Autónoma de Buenos Aires, Argentina.
| | - M J Cura
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Tte Gral Juan D. Perón, Ciudad Autónoma de Buenos Aires, Argentina
| | - P C Luna
- Servicio de Dermatología, Hospital Alemán, Ciudad Autónoma de Buenos Aires, Argentina
| | - C M Echeverría
- Instituto Rehabilitación Psicofísica (IREP), Ciudad Autónoma de Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Tte Gral Juan D. Perón, Ciudad Autónoma de Buenos Aires, Argentina
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Zimman S, Comparatore MV, Vulcano AF, Absi ML, Mazzuoccolo LD. Hidradenitis Suppurativa: Estimated Prevalence, Clinical Features, Concomitant Conditions, and Diagnostic Delay in a University Teaching Hospital in Buenos Aires, Argentina. Actas Dermosifiliogr (Engl Ed) 2019; 110:297-302. [PMID: 30885385 DOI: 10.1016/j.ad.2019.01.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 01/11/2019] [Accepted: 01/22/2019] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Hidradenitis suppurativa is a chronic recurrent systemic inflammatory disease that mainly involves large skin folds. It develops when pilosebaceous units become blocked, leading to the formation of painful nodules, abscesses, fistulas, and scarring. The impact of this disease on quality of life is great. OBJECTIVES To describe the prevalence and clinical features of hidradenitis suppurativa in patients treated at Hospital Italiano de Buenos Aires and determine the frequency of comorbidities and time to diagnosis in this population. MATERIAL AND METHODS Retrospective descriptive cross-sectional study. Information was extracted from the computerized clinical records of all patients with a diagnosis of hidradenitis suppurativa managed in Hospital Italiano de Buenos Aires between July 2012 and October 2017. RESULTS Our initial search of the records yielded 180 cases; the diagnosis was confirmed in 66 cases. Sixty-five percent of the patients were women, and the mean age was 37 years. The prevalence of this diagnosis was 0.02%. The armpits, vulva, and groin were the locations most frequently affected. Smoking, overweight, and obesity were the most commonly recorded concomitant conditions. Male sex and perianal and gluteal locations were associated with severity. Time until diagnosis varied widely, ranging from diagnosis at the first visit in some cases to as long as 142 months and 21 visits. CONCLUSIONS Our findings are consistent with the literature on hidradenitis suppurativa. This is the first Argentinian study to describe the prevalence of this disease as well as the concomitant conditions found and the rate of diagnostic error.
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Affiliation(s)
- S Zimman
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
| | - M V Comparatore
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - A F Vulcano
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - M L Absi
- Servicio de Ginecología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - L D Mazzuoccolo
- Servicio de Dermatología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Castro-Perez GA, Sorin I, Bravo AI, Mazzuoccolo LD. Acquired epidermodysplasia verruciformis in a patient with congenital HIV infection. Actas Dermosifiliogr 2013; 104:731-3. [PMID: 24067256 DOI: 10.1016/j.adengl.2012.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2012] [Accepted: 10/28/2012] [Indexed: 11/26/2022] Open
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